Christopher Shane Croley, MFTA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

173673 Issued in KY

Practice address

1169 Eastern Pkwy Ste 3364
Louisville, KY 40217-1415

Phone

(502) 381-9996

NPI assigned

Jul 9, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1821584293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10103 CARDIGAN DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402992805",
            "telephone_number": "859-321-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1169 EASTERN PKWY STE 3364",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402171415",
            "telephone_number": "502-381-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2303 Hurstbourne Village Dr Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402991830",
            "country_code": "US",
            "telephone_number": "502-509-9988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROLEY",
        "first_name": "CHRISTOPHER",
        "middle_name": "SHANE",
        "credential": "MFTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "173673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Ezell Crockett, APRN, CPNP-PC
• Andrew Croft, MD
• Cara D Croft
• Aubree Burcham Croghan, APRN, FNP-C
• Darcy Croghan, OTR/L
• Dean Allan Cromwell, LCSW
• Jayme L. Crone, MSOT, OTR/L
• Megan Ann Crone, P.T.
• Michael C Cronen, D.O.
• Karen Esther Cronin, PT

• Marriage & Family Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.